Active NPI
Elizabeth Sally Giammarco, LCPCC, PHD
- Professional Counselor
- Windham, ME
National Provider Identifier
1245467612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL2981
- Practice address
- 11 Swallow Dr
Windham, ME 04062-8201 - Phone
- (207) 894-5389
- NPI assigned
- Jun 12, 2009
- Last updated
- Feb 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL2981 | ME | Primary |
Addresses
Primary practice location
11 Swallow Dr
Windham, ME 04062-8201
Mailing address
11 Swallow Dr
Windham, ME 04062-8201
Phone (207) 894-5389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL2981 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1245467612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SWALLOW DR",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040628201",
"telephone_number": "207-894-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SWALLOW DR",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040628201",
"telephone_number": "207-894-5389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIAMMARCO",
"first_name": "ELIZABETH",
"middle_name": "SALLY",
"name_prefix": "Dr.",
"credential": "LCPCC, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL2981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.